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  • 标题:Clinician Acquisition and Retention of Motivational Interviewing Skills: A Two-and-a-half-year Exploratory Study
  • 本地全文:下载
  • 作者:Lisa Forsberg ; Lars G Forsberg ; Helena Lindqvist
  • 期刊名称:Substance Abuse Treatment, Prevention, and Policy
  • 电子版ISSN:1747-597X
  • 出版年度:2010
  • 卷号:5
  • 期号:8
  • DOI:10.1186/1747-597X-5-8
  • 出版社:BioMed Central
  • 摘要:

    Background
    Motivational interviewing (MI) is a collaborative, client-centred counselling style aimed at eliciting and strengthening clients' intrinsic motivation to change. There is strong research evidence supporting the efficacy of MI, notably in its application among alcohol and drug abuse populations. MI interventions in smoking cessation may yield modest but significant increases in quitting. The present study sought to assess the acquisition and retention of MI skills in counsellors at the Swedish National Tobacco Quitline.

    Methods
    Three audio-recorded sessions from each of three counsellors were assessed using the Motivational Interviewing Treatment Integrity (MITI) Code Version 3.0 over 11 assessment periods at fixed intervals in a two-and-a-half year period during which counsellors received ongoing supervision.

    Results
    The mean skill for all counsellors improved throughout the study period in most MITI variables. However, great variations in MI skill between counsellors were observed, as well as fluctuations in performance in counsellors over time.

    Conclusion
    The present exploratory study covers a longer time period than most evaluations of MI training, and has several advantages with regard to study design. It may provide a basis for (larger sample) replication to test MI skill (as measured by the MITI) in relation to behaviour change in clients, to evaluate MI training, and to assess the acquisition and retention of MI skill over time. Difficulties in acquiring and retaining MI skill may raise the issue of a selection policy for MI training. Moreover, fluctuations in MI skill over time emphasise the greater importance of continuous feedback and supervision over initial MI training, and the need for the use of validated treatment integrity assessment instruments in ordinary clinical implementations of MI.

  • 关键词:Motivational Interviewing;Exploratory Studies;Drug Abuse;Smoking Cessation
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